HomeMy WebLinkAboutCO & APPLICATION - 03-00054 - 250 E 4th S - RemodelCERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Building Inspection
Building Permit No: R- o3 -o9 -o3
Applicable edition of code: ❑ International Building Code 2000
❑ International Residential Code 2000
Site address: 250 East 4th South
Use and occupancy: Commercial
Type of construction: Wood Frame
Design occupant load:
Sprinkler System required: ❑ Yes ❑ No
Name and address of owner: Lee Shattuck
250 East 4th South
Rexburg, Idaho 83440
Contractor: Val M. Hill, Inc.
Special conditions:
Occupancy: ❑ Full ❑ Partial ❑ Temporary
This Certificate, issued pursuant to the requirements of Section 109 of the International
Building Code, certifies that, at the time of issuance, this building or at portion of the
hulloing that was inspected on the date Listed was f ouna to he in compliance with the
requirements of the code for the group and division of occupancy and the use for which the
proposed occupancy was classified.
Date: October 29, 2003 (1:4oPM)
C.O. Issued by: 1,;-,4,74
Building Official
There shall be no future change in the existing occupancy classification of the building nor shall
any structural changes modificatio a s or additions be made to the building or any portion thereof
until the Bui1. _ 0 al has revi= ed and approved said future changes.
Water Department ,/ a, i C -1 c0-c4— Fire Department
State of Idaho Electrical Department - (2438 - 356 -483o) ❑ Merlin Webster
BUIL
REXBURG, ID DATE ? 6 3
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER se c t, 7 i b c irt
BUILDER A 144 1 ; / 1 e". Afit ■ 7
STRUCTURE: 0 NEW XREHODEL 0 ADDITION 0 REPAIR CI RENEWAL
CI RESIDENCE >pow 0 EDUCATIONAL 13 GOV'T Q RELIGIOUS 13 FENCE Q PATIO 0 CARPORT 0 GARAGE
FOOTINGS FOUNDATION
13 CONCRETE
13 MASONRY
U OTHER
BASEMENT
13 PARTIAL
(3 FULL
13 NO
FLOORS
WOOD
CONCRETE
13 OTHER
EXT. WALLS
*WOOD
MASONRY
0 CONCRETE
CI VENEER
O METAL
0 STUCCO
INT. WALLS
o WOOD
O MASONRY
0 CONCRETE
El DRYWALL
13 PLASTER
LI TILE
CEILING
CI WOOD
O DRYWALL
O PLASTER
O TILE
CI ACOUSTIC
0 OPEN
ROOF
HEAT
Ci GAS
13 ELECTRIC
O CONCRETE
O MASONRY
0 OTHER
13 BUILT UP. 0 WALLS
13 WOOD SH. 0011 0 CEIUNG
13 COMP. SH. 13 COAL 0 FLOORS
13 FIREPLACE
aTILE 0 PERIMETER
0 ROLL ROOF.
lirMErAL
This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants.
REMARKS:
VALUE 7s
FEE FEE PAID
BUILDING
INSPECTOR
•
PERMIT APPLICA
DEPARTMENT OF BUILDING & ZONING
O CASH
• H CK
JOB ADDRESS .4 1 0 E
3 Wi ' ai'l 7
.,. ,,,, PHONE )
DESIGNER
ARCHITECT
1■1.
'DRESS
WHITE-Owner's Copy CANARY-Building Department's Copy PINK-Assessor's Copy GOLDENROD-Inspector
0 FIRE DAMAGE
CI AWNING
INSULATED
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application 50 p e 3
OWNER �"
Name L, p e J 4 'TT u. c,
Site Address 3S0 L Wit SZte7 4 - lei r
Mailing Address Li7A Sot% 660_
City /State /Zip ..Q r
Telephone/Fax/Mobile
CONTRACTOR �/
Name _ ( 144 i / ( � itic
Mailing Address ' 3 OC (f CRY/ S
City /State /Zip fi 1e .$ v ' - t ocl ? C «40
Telephone/Fax/Mobile ?fb ^ Y 5-- ! ) 56 W-2 ( C� ,5 0 (( 0
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone:
When was this building last occupied
Architect/ Engineer Firm
Subdivision Lot Block
Circle One Residential Commercial Educational Government Remodel Other
Circle One
Circle One Basemen. None Finished / Unfmished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width /4
Square Feet Garage Square Feet Number of Stories a_ Height of Building r '
What will structure be used for: Home Home Business CAee partm Commercial Other �j p T� 00 W �,- - 214(.0...04^)/
Will there be an apartment?
t. Total Estimated Cost / 5 Oa) ° �Are you in a flood plain ,110
Signature of Applicant
Signature of Inspector
Issued by
New House
4 ' 3s <- f7 'C
Is existing use compatible with zoning, (screening parking, etc)
Plan Name
Addition/Remodel to House New Commercial
(Le 1-4
CITY OF REXBURG
SEP 3 2003
PAID CASH $
CHECK $
If so, how many units
Permit No. _.�j' ` -03
Commercial Remode
Code Building Permit Fees 2 SO . 8 g
Zone Plan Check Fees :. eft—
Building Type Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $ D-75, Ti
Excavation &
Earthwork:
Concrete:
Masonry:
Roofing:
Insulation:
Drywall:
Painting:
Floor Coverings:
Plumbing:
Heating:
Electrical:
Roof Trusses:
Mc
Floor / Ceiling Joists:
Cabinets:
Siding /Exterior Trim: e 'v[ c_
Other:
SUBCONTRACTOR LIST
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)